Compassionate and detail-oriented Heart Failure Nurse Transition Coordinator experienced in coordinating multidisciplinary team efforts to develop individualized care plans. Committed to improving patient safety and health outcomes through effective education and streamlined workflows.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Heart Failure Nurse Transition Coordinator
Hospital of the University of Pennsylvania
Philadelphia, PA
03.2017 - Current
Collaborated with multidisciplinary teams to develop and implement individualized care plans for patients across the care continuum.
Educated patients and families on cardiovascular health, treatment options, and lifestyle modifications.
Conducted comprehensive assessments of patients' cardiac conditions to identify needs and potential barriers to safe transitions.
Implemented evidence-based protocols to enhance patient safety and improve quality of care outcomes.
Led initiatives to streamline workflow processes, resulting in improved efficiency and safety for heart failure patients.
Evaluated emerging technologies for potential integration into patient care strategies, enhancing service delivery.
Reduced hospital readmission rates through thorough discharge planning and patient education.
Consistently maintained regulatory compliance within the cardiovascular unit and outpatient practices by educating teams on AHA GWTG recommendations.
Actively participated in case conferences to discuss complex patients'' needs and develop holistic care plans accordingly.
Liaised with health teams to support patient access to tests and procedures to prevent heart disease, promote health, address acute, and episodic interventions and offer rehabilitative and palliative care referrals.
Collaborated with interdisciplinary teams for optimal patient care and treatment plans.
Analyzed data trends related to patient transitions, proposing process improvements based on findings.
Led initiatives focused on reducing readmission rates through effective discharge education and follow-up strategies.
RN Case Manager
Penn Care Home Health
Philadelphia, PA
01.2011 - 03.2017
Coordinated patient care plans with interdisciplinary teams to enhance health outcomes.
Assessed patient needs and developed individualized care strategies for optimal management.
Monitored and evaluated patient progress, adjusting care plans as necessary for effectiveness.
Educated patients and families on medical conditions, treatment options, and self-management techniques.
Facilitated communication between patients, families, and healthcare providers to ensure continuity of care.
Advocated for patients' needs within the healthcare system to improve access to resources and support services.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Educated patients and families on available community resources, facilitating access to necessary support services.
Educated family members and caregivers on patient care instructions.
Evaluated patient histories, complaints, and current symptoms.
Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Cardiac PCU RN
Hospital of the University of Pennsylvania
Philadelphia, PA
01.2010 - 01.2011
Delivered comprehensive patient care through assessment, planning, implementation, and evaluation of nursing interventions.
Collaborated with interdisciplinary teams to optimize treatment plans and enhance patient outcomes.
Educated patients and families on health management, promoting adherence to treatment protocols and lifestyle changes.
Mentored junior nursing staff, fostering professional development and ensuring high standards of care delivery.
Implemented evidence-based practices to improve clinical procedures and enhance patient safety measures.
Managed complex patient cases by coordinating with specialists for tailored treatment approaches and support services.
Streamlined documentation processes using electronic health records systems, improving accuracy and efficiency in patient information management.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
Contributed to interdisciplinary team meetings by presenting relevant clinical data about patients'' progress toward reaching established goals of care.
Outpatient Cardiology Clinic RN
Penn Medicine: University of Pennsylvania Health System
Philadelphia, PA
08.2008 - 01.2010
Educated patients and families on treatment options, medication management, and health maintenance strategies.
Conducted comprehensive assessments of patient conditions, identifying changes that required immediate intervention.
Developed strong therapeutic relationships with patients through empathy, cultural sensitivity, and open communication channels that foster trust.
Enhanced the efficiency of the clinic by coordinating with multidisciplinary teams, streamlining workflows, and optimizing resource allocation.
Improved patient outcomes by providing compassionate and comprehensive care to diverse populations in a clinic setting.
Utilized evidence-based assessment tools to accurately identify patients'' needs and develop appropriate interventions that promoted optimal health outcomes.
Provided education to patients on health promotion strategies such as lifestyle modifications, medication adherence, self-care techniques, and disease management principles.
Increased patient satisfaction with care received by actively listening to concerns, providing clear explanations about treatment plans, and addressing questions promptly.
Mentored junior nursing staff, fostering professional development and adherence to best practices.
Neuro PCU RN
Hahnemann Hospital
Philadelphia, PA
06.2007 - 08.2008
Administered medications and monitored patient responses to ensure effective pain management.
Collaborated with interdisciplinary teams to develop comprehensive care plans for diverse patient populations.
Educated patients and families on health management strategies, fostering informed decision-making and compliance.
Implemented infection control protocols to enhance patient safety and reduce hospital-acquired infections.
Mentored new nursing staff, providing guidance on clinical procedures and hospital policies to ensure quality care.
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Education
Bachelor of Science - Nursing
West Chester University of Pennsylvania
West Chester, PA
05-2010
Nursing RN Diploma - Nursing
Dixon School of Nursing
Abington, PA
05-2007
Bachelor of Arts - Scientific Illustration
Arcadia University
Glenside, PA
05-2003
Skills
Cardiovascular assessment
Heart failure management
Patient safety
Clinical judgment
Health promotion
Teamwork and collaboration
Problem-solving
Attention to detail
Problem-solving abilities
Compassionate and caring
Certification
CHFN
Timeline
Heart Failure Nurse Transition Coordinator
Hospital of the University of Pennsylvania
03.2017 - Current
RN Case Manager
Penn Care Home Health
01.2011 - 03.2017
Cardiac PCU RN
Hospital of the University of Pennsylvania
01.2010 - 01.2011
Outpatient Cardiology Clinic RN
Penn Medicine: University of Pennsylvania Health System